Active NPI
Gulam Ashfaq-Husain Khan, MD
- Diagnostic Radiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-13238
- Practice address
- 4301 W Markham St # 556
Little Rock, AR 72205-7101 - Phone
- (501) 686-8000
- Fax
- (501) 526-5148
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01057508 | IN | |
| Diagnostic Radiology Physician | 2085R0202X | E-13238 | AR | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 45862 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 61599 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | MD441867 | PA |
Addresses
Primary practice location
4301 W Markham St # 556
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
13738 Chase St
Crown Point, IN 46307-9774
Phone (877) 264-3344 ext. 1
Other practice location 2
17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone (833) 228-6889
Other practice location 3
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000
Other practice location 4
1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764
Other practice location 5
1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200455100 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, TX, KY, TN, CA, AR, AZ, NJ, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Arkansas for Medical SciencesMedical Diagnostic Services Inc
Practice addresses (Care Compare)
Mission Viejo, CA 92692
Phone (626) 244-8200
1 Childrens Way
Suite 653
Little Rock, AR 72202-3571
Phone (501) 364-1100
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122
27103 Pacific Terrace Dr
Mission Viejo, CA 92692-5013
Phone (858) 546-3800
3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 799-3294
4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000
4479 Pontiac Lake Rd
1D
Waterford, MI 48328-2058
Phone (248) 499-7618
500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000
8007 S Meridian St
2C
Indianapolis, IN 46217-2901
Phone (219) 836-1222
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.87
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.15 of 100
- Quality
- 73.12
- Improvement activities
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 45.46 of 100
- Quality
- 30.2
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.98 of 100
- Quality
- 11.8
- Promoting interoperability
- 74
- Improvement activities
- 0
- Cost
- 82.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.21 of 100
- Quality
- 92.22
- Improvement activities
- 40
- Cost
- 74.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057508 | IN | MD | Diagnostic Radiology Physician |
| 25MA12315700 | NJ | MD | Diagnostic Radiology Physician |
Practice roles (60 of 102)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modesto Radiological Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radx Imaging Partners Inc | Diagnostic Radiology | Current | Accepting new patients |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| West Valley Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| San Joaquin Community Hospital | Current | Accepting new patients | |
| Grand Island Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Santa Cruz Radiology L L C | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Central Valley Imaging Medical Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Butler Imaging and Interventional Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Los Alamitos Radiology Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Universal Radiology Partners of California PC | Diagnostic Radiology | Current | Accepting new patients |
| Focus Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Banner - University Hospital Based Physicians LLC | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Adventist Health Medical Center Tehachapi | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Diagnostic Radiology | Current | Accepting new patients |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| Lima Radiological Associates | Diagnostic Radiology | Current | Accepting new patients |
| St Jude Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Placerville Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Muskegon PC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Diagnostic Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| Fullerton Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Hampton Roads Radiology Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| San Antonio Radiological Medical | Diagnostic Radiology | Current | Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Ecm Health Group LLC | Current | Accepting new patients | |
| Inspira Health Network Medical Group, P.C. | Current | Accepting new patients | |
| Arkansas Health Group | Diagnostic Radiology | Current | Accepting new patients |
| University of Kentucky | Diagnostic Radiology | Current | Accepting new patients |
| Medical Diagnostic Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Leconte Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Peninsula Radiological Associates Limited | Diagnostic Radiology | Current | Accepting new patients |
| Adventist Health Medical Center Tehachapi | Current | Accepting new patients | |
| Renaissance Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| San Joaquin Community Hospital | Current | Accepting new patients | |
| Charlottesville Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Plains Radiology Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Reid Physician Associates, Inc. | Current | Accepting new patients | |
| X-Ray Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| I V Radiology Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Medical Diagnostic Services Inc | Current | Accepting new patients | |
| I V Radiology Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Consultants of Little Rock, PA | Diagnostic Radiology | Current | Accepting new patients |
| X-Ray Associates of Louisville PSC | Diagnostic Radiology | Current | Accepting new patients |
| Barden Thorwarth Daughtridge LTD | Diagnostic Radiology | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients |
Locations (25 of 89)
401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100
1751 Veterans Dr
Florence, AL 35630
Phone (256) 768-9191
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Ste 653
Little Rock, AR 72202
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587
4301 W Markham St
#556
Little Rock, AR 72205
Phone (501) 296-1095
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210
1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785
3581 Palmer Dr
Ste 300
Cameron Park, CA 95682
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
- Freedom Health HMO Network
Interoperability endpoints
- gkhan32907@ukhcdirect.org
Organizations & group practices 104
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Butler, PA
- NPI 1659518389
CA
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Diagnostic Radiology Physician
- Monrovia, CA
- NPI 1528299989
-
- Diagnostic Radiology Physician
- Los Alamitos, CA
- NPI 1427005024
-
dba Mount Nittany Physician Group
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
CA, Family Medicine
-
- Diagnostic Radiology Physician
- Placerville, CA
- NPI 1700847621
-
dba Reid Health Physician Associates
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
dba Baptist Health Radiology Physicians
- Diagnostic Radiology Physician
- Little Rock, AR
- NPI 1861216327
-
- Diagnostic Radiology Physician
- Little Rock, AR
- NPI 1639124118
-
dba Childrens University Medical Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
Diagnostic Radiology
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Family Medicine
-
dba Adventist Health Medical Center Tehachapi Valley
- Critical Access Hospital
- Tehachapi, CA
- NPI 1275538530
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Norman Regional
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1528055001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 556",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
}
],
"practiceLocations": [
{
"address_1": "13738 Chase St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463079774",
"country_code": "US",
"telephone_number": "877-264-3344 x1",
"fax_number": "888-264-8118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17310 Wright St Ste 103",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681302405",
"country_code": "US",
"telephone_number": "833-228-6889",
"fax_number": "877-853-0376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Martha Jefferson Dr",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229114668",
"country_code": "US",
"telephone_number": "434-654-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Park Ave",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168036701",
"country_code": "US",
"telephone_number": "814-231-7000 x6764",
"fax_number": "814-231-7098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Old Gatesburg Rd Ste 100",
"address_purpose": "LOCATION",
"city": "State College",
"state": "PA",
"postal_code": "168032276",
"country_code": "US",
"telephone_number": "814-278-3280",
"fax_number": "814-231-7098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "GULAM",
"middle_name": "ASHFAQ-HUSAIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01057508",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-13238",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "45862",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "61599",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD441867",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200455100",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.